Tissue adhesives in the prevention of phlebitis and migration of PICC catheters in adults: a randomized prospective study

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F25%3AE0111967" target="_blank" >RIV/00843989:_____/25:E0111967 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/61989100:27240/25:10259614

Výsledek na webu

<a href="https://kont.zsf.jcu.cz/pdfs/knt/2025/03/06.pdf" target="_blank" >https://kont.zsf.jcu.cz/pdfs/knt/2025/03/06.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.32725/kont.2025.030" target="_blank" >10.32725/kont.2025.030</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Tissue adhesives in the prevention of phlebitis and migration of PICC catheters in adults: a randomized prospective study

Popis výsledku v původním jazyce

Aim: Tissue adhesives (TA) have been reported to improve the stability of various types of catheters. TA use for peripherally inserted central venous catheters (PICCs), however, remains largely unstudied. Here, we aimed to evaluate the effects of TA use on the development of phlebitis, bacterial colonization, and catheter migration in PICCs inserted in adult patients. Methods: This prospective randomized trial was conducted over a 43-month period from May 2021 to December 2024. Patients were divided into treatment group (PICC secured with TA) and control group (no TA). Signs of phlebitis (evaluated using CLISA scale) and catheter migration were recorded on Days 1 and 7. Swabs for determining bacterial colonization were taken on Day 7. Results: Of 253 patients included in the final evaluation, none developed phlebitis, although bacterial colonization was detected in 30 patients in the control group and 26 in the TA group on Day 7. Of these, however, only 4 samples contained potentially pathogenic bacteria. Migration > 20 mm occurred in < 5% of patients in both groups, minor migration < 20 mm in < 10% of patients in each group. No statistically significant differences were detected between the groups in any of the observed parameters. Conclusion: In a setting with highly trained nursing staff using an anchoring device and dressing, the additional use of TA brought no benefits to the patients.

Název v anglickém jazyce

Tissue adhesives in the prevention of phlebitis and migration of PICC catheters in adults: a randomized prospective study

Popis výsledku anglicky

Aim: Tissue adhesives (TA) have been reported to improve the stability of various types of catheters. TA use for peripherally inserted central venous catheters (PICCs), however, remains largely unstudied. Here, we aimed to evaluate the effects of TA use on the development of phlebitis, bacterial colonization, and catheter migration in PICCs inserted in adult patients. Methods: This prospective randomized trial was conducted over a 43-month period from May 2021 to December 2024. Patients were divided into treatment group (PICC secured with TA) and control group (no TA). Signs of phlebitis (evaluated using CLISA scale) and catheter migration were recorded on Days 1 and 7. Swabs for determining bacterial colonization were taken on Day 7. Results: Of 253 patients included in the final evaluation, none developed phlebitis, although bacterial colonization was detected in 30 patients in the control group and 26 in the TA group on Day 7. Of these, however, only 4 samples contained potentially pathogenic bacteria. Migration > 20 mm occurred in < 5% of patients in both groups, minor migration < 20 mm in < 10% of patients in each group. No statistically significant differences were detected between the groups in any of the observed parameters. Conclusion: In a setting with highly trained nursing staff using an anchoring device and dressing, the additional use of TA brought no benefits to the patients.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30307 - Nursing

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Kontakt

ISSN

1212-4117

e-ISSN

1804-7122

Svazek periodika

27

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

6

Strana od-do

226-231

Kód UT WoS článku

001589184400006

EID výsledku v databázi Scopus

2-s2.0-105019300190